EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Endometriosis VA Disability Rating
DC 7629 | 38 C.F.R. § 4.116 | M21-1, Part IV.ii.11
OVERVIEW
Endometriosis is a condition where tissue similar to uterine lining grows outside the uterus, causing pain, heavy periods, and fertility problems. Women veterans are disproportionately affected. Under DC 7629, endometriosis is rated based on symptom severity and treatment response. The condition frequently worsens during or after military service due to delayed diagnosis, physical stress, and limited access to gynecological care during deployments.
RATING CRITERIA (3 LEVELS)
50% -- Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy/irregular bleeding not controlled by treatment
Severe endometriosis with extrapelvic involvement or uncontrolled symptoms.
30% -- Pelvic pain or heavy/irregular bleeding not controlled by treatment
Significant symptoms despite treatment.
10% -- Pelvic pain or heavy/irregular bleeding requiring continuous treatment
Symptoms manageable but requiring ongoing medication.
KEY EVIDENCE TO GATHER
-Laparoscopy or surgery reports confirming endometriosis diagnosis and staging
-Gynecology records documenting symptoms, treatments, and treatment failures
-Imaging (ultrasound, MRI) showing endometriomas or pelvic pathology
-Medication records (hormonal therapy, GnRH agonists, pain management)
-Documentation of impact on fertility, work, and daily activities
-Service medical records showing onset of symptoms during service
SECONDARY CONDITIONS (4 MAPPED)
DC 9434/9413
Chronic pelvic pain and fertility impact cause significant psychological distress.
DC N/A
Endometriosis is a leading cause of infertility. Loss of reproductive function may qualify for SMC-K.
DC 7319
Endometrial lesions on or near the bowel cause IBS-like symptoms.
DC 7512/7542
Bladder endometriosis causes urinary frequency and pain.
C&P EXAM TIPS (4)
1.Endometriosis often takes 7-10 years to diagnose. If symptoms started during service but diagnosis came later, document the timeline.
2.Laparoscopy is the gold standard for diagnosis. If you have surgical confirmation, this is powerful evidence.
3.Document every treatment you have tried and why it was insufficient. Treatment failure supports higher ratings.
4.Women veterans: if delayed diagnosis was due to limited gynecological care during service, document this as part of your claim narrative.
DOLLAR IMPACT
Endometriosis at 30% pays $552.47/mo. At 50%, $1,131.68/mo. Combined with secondary depression, IBS, and potential SMC-K for infertility, total compensation can be substantial.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026